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Doctor insights on: Emergency Treatment For Atrial Fibrillation

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What is the most recommended treatment for atrial fibrillation?

What is the most recommended treatment for atrial fibrillation?

Anticoag + rate cont: Anticoagulation and rate control with PO meds. ...Read more

Dr. John Garner
1,834 Doctors shared insights

Atrial Fibrillation (Definition)

A heart condition, in which the electrical activity of the heart is abnormal. This abnormal electrical signal causes the heart muscle to contract when it is not supposed to and thus blood is ...Read more


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These days what's the medical treatment for atrial fibrillation?

These days what's the medical treatment for atrial fibrillation?

Atrial fibrillation: Afib is a rapid irregular heart rhythm which can decrease heart efficiency as much as 20% in some patients. It can also be associated with clotting and clots travelling around the body to cause stroke or other problems. Some people have atrial fibrillation as their normal rhythm. We use drugs to control rate, rhythm and if not successful, ablation therapy by electrophysiologist. ...Read more

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Hoping you can tell me, is minimally invasive treatment for atrial fibrillation available?

Hoping you can tell me, is minimally invasive treatment for atrial fibrillation available?

Yes: All catheter-based techniques are considered minimally invasive. Conventional techniques are up to 75% effective though multiple procedures are frequently required. There is a mini-thoracotomy procedure they can do with slightly improved efficacy over this but it involves making a lot of scar tissue around the left atrium; we usually reserve that for people needing other procedures in the chest. ...Read more

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Without treatment, is atrial fibrillation deadly?

Depends: It depends on how many other diseases you have. For the people with the highest risk, it can cause strokes, which can be deadly. Anyone with this condition needs to see a Cardiologist. ...Read more

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Which is the preferred atrial fibrillation (afib) treatment?

Which is the preferred atrial fibrillation (afib) treatment?

Afib: Treatment of afib is tailored to the patient. The treatment that gives the individual the best results varies. ...Read more

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There are drugs for treatment of vagal atrial fibrillation?

Yes: Vagal-mediated atrial fibrillation typically occurs at night while people are sleeping or may occur when drinking something cold or going to the bathroom. An antiarrhythmic called norpace, or disopyramide, works well in this situation, as it has anti-vagal properties. ...Read more

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I have been to the ER for a rapid heartbeat. Sometimes it's diagnosed as sinus tachycardia and sometimes atrial fibrillation. I have tried cardyzeme and metopral without much success. What happens if I don't seek treatment next time?

I: I agree with dr. Guyton's excellent and thorough answer and would like to emphasize that with atrial fibrillation there are two main issues:
1) heart rate - a fast heart rate is typically what most people present with, and typically can be managed with medications to control heart rate such as the two you described, although there are others. Sustained high heart rates are not good for the heart, but as long as you are not having chest pain, shortness of breath, dizziness, or loss of consciousness then you can call your physician before rushing to the er.
2) stroke - afib presents a very real increase risk of stroke if not properly treated. For this reason, an accurate diagnosis is a must, and if it is indeed afib the you should discuss with your physician whether you are high enough risk to require blood thinners such as Coumadin (warfarin) or pradaxa. This is a long term risk so can be discussed in the outpatient setting with your docotor or a cardiologist. ...Read more

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Taking 200 mg of Flecainide daily and still having episodes of atrial Fibrillation and PVCs. What should the next course of treatment be? Thanks

Follow your MD lead: You need to be patient and stick to the treatment offered by your cardiologist or electro physiologist and discuss your options and doubts with them. Do NOT over read or look for answers on the internet. This can be harmful when the arrhythmia, in general, is not. ...Read more

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What meds can I use to control my a fib? What are the risks and side effects of medications to control my atrial fibrillation or to reduce the risk of stroke? What are the risks/benefits of other treatment options?

What meds can I use to control my a fib? What are the risks and side effects of medications to control my atrial fibrillation or to reduce the risk of stroke? What are the risks/benefits of other treatment options?

The: The treatment of atrial fibrillation has two important components: 1) treating the rhythm, and 2) preventing stroke. There are two strategies for treating the rhythm. The first is called the rate control strategy, and involves using medicines to prevent the heart rate from going too fast. These medicines do not prevent atrial fibrillation episodes, but are generally effective at preventing fast rhythms and also tend to have few side effects. This is a good strategy for people who do not have severe symptoms from atrial fibrillation, such as older less active people. The second strategy is called the rhythm control strategy, and involves using medications that are designed to maintain normal sinus rhythm and prevent episodes of atrial fibrillation. This strategy may be more desirable for people who are vey symptomatic when in atrial fibrillation such as young, active people. Unfortunately, this strategy tends to be less successful because recurrence of atrial fibrillation is common. The rhythm control medications also tend to have more side effects than the rate control medicines, and in some cases the side effects can be severe. Neither strategy is better than the other at preventing stroke.

For stroke prevention, warfarin (also called coumadin) is typically used for people at moderate or high risk. This medication has been shown to be superior in preventing stroke, but it also increases the risk of dangerous bleeding because it is a blood thinner. Patients at lower risk for stroke may just take an Aspirin tablet daily. This has a lower bleeding risk than warfarin.

Lastly, some people are candidates for surgical or catheter-based ablation procedures. These procedures can cure atrial fibrillation, but are not always successful and not all people are good candidates. ...Read more

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If atrial fibrillation with sick sinus syndrome changes from intermittent to continuous, is further treatment needed? Taking Coversyl & Pradaxa now.

If atrial fibrillation with sick sinus syndrome changes from intermittent to continuous, is further treatment needed? Taking Coversyl & Pradaxa now.

AF: This discussion should be with your doctor who knows you and your entire situation. In general if maintaining sinus rhythm is no longer realistic, we still need to continue rate control and usually anticoagulation. These treatments however need to be patient specific. ...Read more

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Which treatments control atrial fibrillation?

Which treatments control atrial fibrillation?

It Varies: The most important treatment is stroke prevention, which is usually done by medications (aspirin or warfarin). Sometimes rate control medications are used, like metoprolol. If the af is severe enough, stronger anti-arrhythmic medications are used, like propafenone. If these do not work, catheter ablation may be recommended. Pacemaker and av-node ablation may be used as a last resort. ...Read more

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What are the treatments for atrial fibrillation?

What are the treatments for atrial fibrillation?

It Varies.: The most important treatment is stroke prevention, which is usually done by medications (aspirin or warfarin). Sometimes rate control medications are used, like metoprolol. If the af is severe enough, stronger anti-arrhythmic medications are used, like propafenone. If these do not work, catheter ablation may be recommended. Pacemaker and av-node ablation may be used as a last resort. ...Read more

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What are drug treatments for atrial fibrillation?

What are drug treatments for atrial fibrillation?

See below: All patients with atrial fibrillation should be placed on anticoagulants to decrease the risk of blood clots from the atrium. Drugs like warfarin or the newer drugs such as 10a inhibitors are used. Drugs such as beta blockers or calcium channel blockers are used to control the heart rate. Other drugs such as amiodarone or sotalol are used to try to convert atrial fibrillation back to sinus rhythm. ...Read more

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Are there any new treatments for atrial fibrillation?

Are there any new treatments for atrial fibrillation?

Yes: There are multiple ways to treat atrial fibrillation:
1. Control the heart rate with medications that control the heart rate.
2. Try to convert patients in nornal rhythm and keep them in normal rhythm with medications specific for that purpose.
3. Minimize the risk of a stroke with medications that thin the blood
4. If medications fail, patients can undergo a procedure called catheter ablation. ...Read more

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Can you please lay out the latest treatments for atrial fibrillation?

Can you please lay out the latest treatments for atrial fibrillation?

Improved Ablation: The techniques we use to ablate afib haven't changed much in the past 10 years or so, but there's a new technique we're just finishing the early trials on which may potentially be a game-changer. It should be on the market late this year and will probably start being widely available next year. ...Read more

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Are there any permanent treatments for acute atrial fibrillation?

In the right patient: An invasive procedure called an atrial fibrillation ablation using either radio frequency or a freezing technology called cryoablation actually has a relatively high rate of cure in carefully selected patients. I would recommend that you speak with a cardiologist who then can recommend the best electrophysiologist (a type of cardiologist) in your area for this procedure. ...Read more

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Which drugs are mostly recomended to start therapy for patients with atrial fibrillation. Is quinidine a good chioce?

Which drugs are mostly recomended to start therapy for patients with atrial fibrillation. Is quinidine a good chioce?

Atrial fibrillation: Quinidine is only rarely used any more. We older doctors learned years ago that we killed some folks with it. There are more recent and safer drugs that we use now. Talk to your doctor to discuss if you have afib, a cloud doctor shouldn't be advising you without knowing your situation. ...Read more

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Atriel fibrillation what's the best treatment?

Atrial Fibrillation: Atrial fibrllation is an irregular heart rhythm of the heart that predisposes patients to stroke. There are a lot of treament options but it depends on the patient's clinical situation. Generally, treatment includes medications to control rate and rhythm, blood thinner and sometimes cardiologist offer ablation. Discuss these options with your physician. ...Read more

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Is there a cure for atrial fibrillation? Diagnosed in 2004. Taking medication to control it. Still have flare-ups frequently.

Yes in some cases: Yes in some cases. The medical treatment can be focused on just keep your hear rate low or to try to convert you into normal rhythm. Cardio version is another treatment when you shock the patient under sedation. Procedure wise electro physiologists can do an ablation through the groin. Surgeons can do the ablation preferably minimally invasive through the side or a hybrid procedure - convergent. ...Read more

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Is there a cure for atrial fibrillation and bundle branch block?

Possibly: Atrial fibrillation can under some circumstances be cured by specialized ablation. Bbb is generally not curable. Talk to a cardiologist. ...Read more

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How safe is a cardiac ablation? Will it help to cure atrial fibrillation? If it does, will I have to continue taking medication

Usually safe: Although many serious complications can occur during an ablation, when performed by a skilled physician with plenty if experience in a good hospital it is usually very safe. When successful an ablation may allow a patient to come off medications prescribed for the arrhythmia which was ablated. Atrial fibrillation is an arrhythmia which can be cured with ablation. ...Read more

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Beside taking arrhythmia medicines, what are other option for atrial fibrillation? Does a pace maker or defibrillator cure a fib?

Beside taking arrhythmia medicines, what are other option for atrial fibrillation? Does a pace maker or defibrillator cure a fib?

Ablation: Catheter ablation (pulmonary vein isolation) can be curative. Although not curative, an av node ablation in combination with a pacemaker or defibrillator can usually eliminate the symptoms of atrial fibrillation. If you have obstructive sleep apnea using CPAP can greatly improve atrial fibrillation. ...Read more

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For young (<60), asymptomatic, paroxysmal atrial fibrillation patients on NOACs with LVH, should the patient seek out catheter ablation for treatment?

For young (<60), asymptomatic, paroxysmal atrial fibrillation patients on NOACs with LVH, should the patient seek out catheter ablation for treatment?

Depends: On left atrial size and function, frequency. Ablation is a big deal and frequently unsuccessful. I would try to suppress with a beta blocker like Bystolic, get magnesium level to 2.1-2.4, potassium to 4.1-4.5, stay off stimulants/alcohol, use hawthorne berry, avoid many other supplements, get general labs checked. Why the LVH? HRS, MD, FACC. Www. Thepmc. Org ...Read more

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If I had atrial fibrillation, wouldn't the 30 day event monitor I wore have showed it?

No: It depends if you have permanent or paroxysmal atrial fibrillation. If you did not have an episode during those 30 days, I will not show. Paroxysmal means that is intermittent. ...Read more

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Why the atrial fibrillation causing thromboembolic phenomena while atrial flutter don't cause it?

Short answer: Atrial fib has increased risk secondary to irreg. Firing of atria and valves causing damage to blood cells. In flutter there is a more regular rate and atrial contractile function offers some protection but there is still a slightly increased risk. In chronic flutter, coagulation is necessary given the risk of stroke is the same as atrial fib. Pts with chronic flutter often have a fib as well. ...Read more

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Funny how a diagnosis doesn't mean much till you have it. What is atrial fibrillation?

Funny how a diagnosis doesn't mean much till you have it. What is atrial fibrillation?

Electrical chaos: The electrical impulses in the upper chambers of your heart (mostly originating from the left side) are completely chaotic leading to a quivering motion of these chambers instead of their typical, coordinated pumping function. The lower chambers beat erratically, as the electrical impulses bombard them in a haphazard way. See a cardiologist or an elelctrophysiologist. ...Read more

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Is it safe to take zantrex 3 when I have atrial fibrillation I don't take afib meds though?

Is it safe to take zantrex 3 when I have atrial fibrillation I don't take afib meds though?

Not My Pick...: Let's look at the ingredients. 300mg of caffeine (3-5 cups of coffee), then 7 herbal ingredients that are all caffeine. This is a mix likely to induce and maintain a wide variety of arrhythmias. Best of all, they don't tell you how much of each of those herbs they've got in there. But there is a picture of snookie on the homepage, so there's that... :). ...Read more

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Can atrial fibrillation cause ed?

No: Afib cannot directly cause ed. Medicines used to treat afib can impair erections and conditions associated with afib such as heart failure, coronary disease also can cause ed. ...Read more

Fibrillation (Definition)

Fibrillation is the rapid, irregular, and unsynchronized contraction of muscle fibers. An important occurrence is with ...Read more